A nurse is discussing factors that influence communication with a group of newly licensed nurses. Which of the following information should the nurse include?
Hearing loss is considered a development factor that has minimal effect on nurse-client communication.
Clients who have developmental deficits are less distracted by environmental noises than client who do not have these deficits.
Nurses might focus on a client's physiological needs over psychosocial needs when communicating during care.
Nurses caring for clients experiencing a highly emotional situation report that communication is rarely affected.
The Correct Answer is D
A. Hearing loss is a significant factor that can significantly impact nurse-client communication. Clients with hearing loss may have difficulty understanding what is being said, leading to misunderstandings and frustration.
B. Clients with developmental deficits may be more sensitive to environmental noises and distractions, which can make it difficult to focus on communication.
C. This can be a significant barrier to effective communication, as it can lead to neglecting the client's emotional and psychological needs. It's important for nurses to be aware of this tendency and to make a conscious effort to address both the physical and emotional needs of their clients.
D. Emotional factors can significantly affect communication. When clients are experiencing a highly emotional situation, they may be more likely to become overwhelmed, anxious, or defensive, which can make it difficult to communicate effectively.
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Related Questions
Correct Answer is B
Explanation
A. This is an example of primary prevention. Vaccinations are aimed at preventing illness before it occurs by building immunity, making this an action focused on health promotion and disease prevention.
B. This is an example of secondary prevention. Mammograms are screening tests used to detect breast cancer early in asymptomatic individuals, allowing for early intervention and treatment. This level of prevention focuses on early detection and intervention.
C. This is an example of tertiary prevention. An echocardiogram is used to assess and manage an existing health condition (heart failure) rather than to prevent the onset of a disease. This level of prevention focuses on managing and minimizing the effects of established diseases.
D. This does not represent a level of prevention but rather indicates a decision to not pursue further diagnostic testing based on the absence of symptoms. This choice aligns more with the absence of active preventive measures rather than a defined level of prevention.
Correct Answer is A
Explanation
A. Economic stability refers to the financial resources and income available to individuals and families. Unemployment directly impacts economic stability, leading to challenges in accessing basic needs such as housing, food, and healthcare.
B. While education is an important determinant of health, the client’s unemployment does not directly indicate a challenge related to their educational attainment. It is possible for an individual to be well- educated yet still face unemployment due to various factors, such as the job market or specific industry conditions.
C. This factor includes the physical and social environments in which individuals live, such as housing quality, safety, and access to resources. Although a challenging neighborhood can affect health, the
client’s unemployment specifically relates more to economic stability than to the characteristics of their
neighborhood environment.
D. This determinant encompasses the relationships and social networks that provide support and community engagement. While unemployment can affect social interactions and community involvement, it primarily reflects economic stability rather than being a direct challenge within this context.
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